Virtual Nurse Consultant

APremium Healthcare Solution, LLC

2d•Remote

About The Position

We are seeking an experienced and highly skilled Nurse Consultant to provide clinical expertise, strategic guidance, and professional insight across our healthcare programs and services. In this fully remote role, you will leverage your nursing knowledge to evaluate clinical information, enhance patient care processes, support data-driven decision-making, and collaborate with multidisciplinary teams. The ideal candidate is analytical, detail-oriented, and an effective communicator who thrives in an independent, fast-paced virtual environment.

Requirements

Active, unrestricted Registered Nurse (RN) license (state-specific or compact, as applicable)
Minimum of 3 years of clinical nursing experience (e.g., acute care, telehealth, case management, or specialty practice)
Strong knowledge of evidence-based practice, clinical guidelines, and healthcare regulations
Excellent critical thinking, documentation, and communication skills
Ability to work independently in a remote setting with strong time-management and organizational skills
Proficiency with EHR systems, telehealth platforms, and standard office software

Nice To Haves

Bachelor of Science in Nursing (BSN) or higher
Experience in utilization review, quality improvement, risk management, insurance, or legal nurse consulting
Relevant certifications (e.g., CCM, CPHQ, LNC, URAC or similar)
Knowledge of reimbursement models, coding principles, and managed care processes

Responsibilities

Review and evaluate clinical documentation, medical records, and patient data to ensure accuracy, quality, and regulatory compliance
Provide expert nursing consultation and clinical guidance to internal teams, clients, and external stakeholders
Support case management, utilization review, care coordination, and quality improvement initiatives as needed
Conduct clinical assessments, triage, and nurse consultations via phone and virtual platforms
Identify trends in patient outcomes, care delivery, and clinical performance to recommend improvements
Develop clinical summaries, reports, and evidence-based recommendations
Collaborate with physicians, nursing staff, allied health professionals, and administrative teams
Ensure compliance with clinical standards, organizational policies, and applicable regulations
Participate in audits, training sessions, and process improvement initiatives
Maintain patient confidentiality and ensure full compliance with HIPAA and privacy regulations